并发复发性气胸的胸膜曲霉菌病：一例报告
Pleural aspergillosis complicated by recurrent pneumothorax: a case report.
作者信息
Zhang Weihua, Hu Ye, Chen Liang'an, Gao Jie, Xie Lixin
机构信息
Department of Respiratory Medicine, Chinese PLA General Hospital, 28th Fuxing Road, Beijing, 100853, China.
出版信息
J Med Case Rep. 2010 Jun 17;4:180. doi: 10.1186/1752-1947-4-180.
INTRODUCTION
Pneumothorax as the first symptom of pleural aspergillosis is rare.
CASE PRESENTATION
A 31-year-old asthmatic Chinese man presented with recurrent spontaneous pneumothorax and underwent lobectomy due to persistent air leakage. Aspergillus was detected histopathologically in the visceral pleural cavity. He was treated with itraconazole at 200 mg a day, and nine months later he had no recurrent pneumothorax or aspergillus infection.
CONCLUSION
Recurrent pneumothorax may be a rare manifestation of aspergillus infection. Aspergillus species infection should be considered in the differential diagnosis of recurrent pneumothorax patients, particularly those with chronic lung disease.
引言
气胸作为胸膜曲霉菌病的首发症状较为罕见。
病例报告
一名31岁的中国哮喘男性患者出现复发性自发性气胸，因持续漏气接受了肺叶切除术。在内脏胸膜腔中通过组织病理学检测到曲霉菌。他接受了每日200毫克的伊曲康唑治疗，九个月后未再出现复发性气胸或曲霉菌感染。
结论
复发性气胸可能是曲霉菌感染的罕见表现。在复发性气胸患者，尤其是患有慢性肺部疾病的患者的鉴别诊断中应考虑曲霉菌感染。
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